Government consults on mandatory Changing Places


The government is undergoing a public consultation (part 1) providing the finer details of including Changing Places toilets in the Building Regulations (Document M, Sanitation).

Visit: Changing Places (England) Consultation

You can have your say on issues such as:

  • Types of buildings
  • Trigger values eg cinemas would be based on x number of seats, others triggered by footfall or space.
  • Size and equipment provided
  • Costs to businesses
  • Equality impact assessment of provision.

Full details are contained in the pdf document provided on the consultation page. You can participate by email or online.

Poo at the zoo.


This week is Love your Zoo Week run by BIAZA. The British and Irish Association of Zoos and Aquariums (BIAZA) is the professional body representing the best zoos and aquariums in the UK and Ireland.

Baby elephant

Chester Zoo

1.3 million people visit member organisations every year. Only a small percentage are disabled people and their friends/families because few venues provide toilet facilities with 

  1. a hoist and changing bench, 
  2. space for modern wheelchairs or 
  3. one that is fully equipped for able wheelchair users and those with other impairments e.g. Bowel/bladder disorders, autism, mental ill health, epilepsy, obesity, shortened height.

 BIAZA members contribute over £650 million to the national economy.

If the venue doesn’t provide a hoist or height adjustable toilet, this means a lot of people can’t visit. People with poor balance, weak legs or arms may not be able to stand up from an accessible seat. 

People with muscle and nerve disorders, balance or co ordination difficulties or frailty from old age may need this equipment.  They may not necessarily use a wheelchair.  

There are no height adjustable toilets in any zoo, aquariums or wildlife parks in the UK.

If standing up from the loo (or standing by the loo) is impossible, such individuals have to be lifted up / carried in the arms of relatives or find a toilet with a hoist and changing bench. Wheelchair users with weak arms/legs also need hoist facilities.

Hoist, toilet and changing bench

Chester Zoo

There are a number of zoos etc who provide such essential equipment and the space to use it. 

These are:

  • Marwell Zoo (first in UK to equip toilets for all visitors)
  • Bristol Zoo Gardens
  • Blair Drummond Safari Park
  • Tilgate Park
  • Chester Zoo
  • Chessington World of Adventures Resort
  • Tropical Wings Zoo (opening soon)
  • Folly Farm Adventure Park and Zoo
  • Cotswold Wildlife Park
  • Colchester Zoo
  • Yorkshire Wildlife Park (hoist and toilet)
  • Wingham Wildlife Park
  • Pili Palas Nature World
  • Camperdown Wildlife Centre (opening soon)
  • Edinburgh Zoo (hires in a bed and hoist for 1 week per year)
  • Whipsnade

(List excludes bird and wildlife reserves and parks/forests).

Possible future venues:

  • Living Coasts
  • Paignton Zoo
  • Newquay Zoo
  • Twycross Zoo
  • London (only hoist and bench currently – no toilet)

Specifically stating no hoist facilities:

  • Woburn Safari Park

However, there are over 100 venues who do not offer usable toilet facilities – not even for people who don’t use a hoist.

Why do they exclude disabled people?

Train travel and toilets


This week we heard about Anne Wafula Strike in the news – not being able to access the toilet on a long train journey.

The fear of not finding a usable toilet (and risk urinating in your underwear or damaging your bladder and kidneys) is very real. It leaves disabled people choosing the more dignified option – to not make any long journeys by train or car. This leads to major life restrictions around work, health care, leisure and socialising or seeing family.

Until 6 years ago, I had never been on a train. I then had to get into London for specialist hospital services so we started using trains. With my husband, we carefully choose our stations – they have to be 

  1. staffed – to set up ramps to get on and off . (Not all stations have staff present.)
  2. Step free access to the platform. (Some stations have no access to platforms or only access to some platforms in one direction).

It is here we bring into the equation – where will I be able to use the loo along the way.

Where are the usable toilets?

Our main route has been from Tonbridge to London Bridge and Maidstone to Victoria. From the moment I last use the loo at home, the clock starts ticking. I won’t drink anything that day to reduce the need for the loo.

Around an hour has passed and I’m at the station. The toilet door opens straight onto the platform – so my husband who lifts me out of my chair to/from the loo will have to slink out whilst I use it (without exposing me to people on the platform). He will then have to loiter and listen out for me to call him back in. He will get some funny looks – but that’s ‘normal’ for us. It’s not a private affair. 

There is no hoist – so he will have to lift/drag me to the seat. On the plus side it’s clean and has all 3 of the standard set of support rails to cling on to. 

I can’t travel by train to London with my personal assistants as they can only use a hoist to lift me and there are no rail stations with hoist equipped toilets on my route or at my destination. 

On the train

On the train, I need to get assistance into the accessible carriage. This is where the accessible toilet is located. However, on the way home we are sometimes just put in the doorway area because not all trains have accessible carriages or are too full at rush hour. They have no access to the toilets. Staff just want to get people on trains or are they see the accessible coach is a long way away – so they try to board you into the nearest coach with no wheelchair space. 

I can’t use the toilets on trains because my small powerchair won’t fit and there is no space for my husband to lift me. They don’t have hoists. You can see here that if my chair was next to the loo – my husband would not fit in at all. Alas I haven’t mastered levitation.

I often see they are out of order. If I needed the loo I’d have to get staff to cancel the ramp at my destination- and make new arrangements for me to get off at another station –  and back on another train after using the loo. As I’ve just said, stations might be no go areas because they are not step free or staffed.

If it is possible to get off at another station, what if the toilet on that station isn’t usable? Not every toilet has the ‘standard’ space, suppport rails etc. Take this one for example.

We were a few hours on a train for a day out at Ely. My husband had worked out we could use the toilet at the station. He’d even seen a picture on the station’s website. However, we headed straight for the loo only to find the support rail was not standard / too far away from the toilet to hold on to. I would have fallen on the floor. I had heart failure because we were in a new place with no idea where to find a toilet. 

On our way back from Ely to Kings Cross the same problem but thankfully on the left hand side (I need a right hand side rail as it’s the only way I can lean). For someone else this won’t be usable. This toilet is also higher than the recommended standard for safe and manageable transfers from a wheelchair. 

Trains and stations – will they ever be accessible?

I haven’t heard that newly refurbished stations like London Bridge or Cross Rail will have made any improvements to accessing toilets at stations across London. No toilets with larger spaces or hoists being put in. No refurbishing or auditing of current toilets to ensure all access features are present and correctly positioned or offer better privacy.  

I’ve been part of consultations on toilet provision on new trains. The designs did not involve larger spaces or better layouts for wheelchair users. 

There is never a guarantee the toilet will be in working order – but if all stations had improved, usable wheelchair accessible toilets on all platforms, we could at least get off the train at the next staffed station and be confident that I could pee into the loo and not into my knickers. 

Caught short – the myth 


An interesting comment came my way stating that ‘normal’ people caught short should be allowed to use the accessible loo the same as non disabled people who need the loo urgently.

Let’s put this to bed right here. 

We have covered before how part of the criteria of being accessible is ‘availability’ of accessible toilets. I.e not taken up by non disabled people who could go elsewhere.

So what if the non disabled person is caught short? Well the reason is different. One person has, as an adult, improperly and in error been unable to time when they needed to empty their bladder or bowel. With some mental competence, being caught short could have been avoided. They then wouldn’t have had to dive into an accessible toilet?

 Disabled people might have a medical need known as urgency where they may only have a minutes warning before their bladder releases whether they are in the loo or not. Clearly these people with a medical need (or arguably a medical need from an upset stomach or similar) require available facilities of an accessible toilet to preserve health and dignity. 

Simply being caught short because someone has not made time for the toilet in their day is no excuse to use up an accessible toilet. 

What do you think?

Changing Places low usage?


Gill, a fellow toileteer, had a couple of questions – which I felt might be a useful topic to take a look at. Here is the first one:

Changing Places: Changing places room is greatly needed and appreciated by users, but it would appear that in general they get very little use. I believe that this is partly due to signage. The facility might appear on an app but once in the building there may be poor directions. Also once found they might well be locked and someone has to go on a key hunt. Apparently some providers are closing them as they have never been used, and the average usage is once every six months. There’s been a suggestion that they could become a more multi use facility? eg first aid room; baby changing room for a disabled parent. Do you have any thoughts on this?

Changing Places and similar toilets are very valuable. However, imagine you’re a shop or tourist attraction who has invested thousands in providing a large fully accessible toilet with a hoist and bench… only to find it’s rarely used. A waste of money, you say angrily, as you knock it down to make way for valuable retail space. 

Aghhhhh. What went wrong?

We can break down some of the key reasons as to why they are at risk of being underused.

1) The toilet is not signposted within the venue or town.

I’m a CP toilet user and so many times I find there is no signposting. I know from the CP map that the venue has one … but it’s not on any venue map, booklet, and no directions given from public toilet blocks. (O2 Arena, Bluewater Shopping Centre and my local town come personally to mind). 

  • If you don’t tell people where it is then they won’t use it!

Yesterday I looked at the CP map and saw Toddingto Services had one … I went in only to find it was on the northbound side and I was southbound. Whilst it’s on the Google map section of the CP map, the description didn’t indicate which side!

2) The toilet isn’t called a Changing Places. 

Staff might not know that a Changing Places toilet might be labelled, in their venue, as a ‘high dependency unit’ , ‘Space to Change’, ‘Hoist assisted toilet’, ‘Adult Changing Room’ etc. as there is no official standard name.  People who use these toilets might not realise to look/ask for alternative names. (Bluewater/O2 Arena / mobile units come to mind).

In Lincoln castle they have a hoist … but they just call it ‘the accessible toilet’.  No mention of it on their visitor literature!

  • Staff training can help.

3) Location, location, location

These toilets might be a significant investment … so location is critical. Even if a large venue has a CP toilet, if you have to walk for 30 minutes to reach it, you might not use it. Maidstone has one in its council building – great only it’s over 30 minutes fast walk uphill from the museum, theatre, main shopping area etc. It’s quicker for me to drive home!! 

  • Toilets need to be central to the action.

Yesterday I was at Chester Zoo. It’s a huge venue. I was a long way away from the CP toilet (about 600 metres) and it was back in the direction we had come from, so I used a basic loo. Does that count as none use or just my personal choice and need for the loo quicker than we could reach it?  The location is good though and well signposted – in fact I’d say in this instance 2-3 toilets would all be used well. 

  • Sometimes too few CP toilets or wrong locations can risk low overall use.

4) How is use being monitored?

Unless a person has to request one to be opened or someone is constantly watching the entrance (and this is being recorded) then usage monitoring might not be happening.  Use might be ‘guessed’ by  something as simple as ‘the bed paper roll’ still looks full or ‘the toilet roll hadn’t gone down in months’.

These methods have obvious flaws.  Thinking of the many CP toilets I have used, only 1 was visible by staff at a reception desk (who had other work to do rather than to vigilantly act as official toilet monitor). How can venues say with certainty if they are being used or not? 

Do cleaners make notes if it looks ‘used’? 

Most are ‘just toilets’ with no special key  and might be used for clothing changes or something which wouldn’t leave any dent in the toilet roll. I often use my own specialist wipes that are flushable – so you’ll never know I’ve been in.

Could they have other uses?

Thinking about secondary uses, the two obvious choices are noted by Gill. A first aid room or for wheelchair accessible baby changing.

The latter could be problematic in that parents using chairs are likely to need to sit under the changing table area to access their baby and CP benches are not open underneath. A height adjustable baby changing table might be an option that could fit in the full size CP toilet to assist disabled parents.

What about using it as a first aid room? There is nothing in health and safety legislation to suggest that a toilet space can not be a first aid room. However, whether someone would want to be treated in a room with a toilet nearby could be a problematic.  Hygiene and infection control may be an issue and CP benches are often just a shower trolley – not meant for laying on for a prolonged period and not that comfy.  There is also the consideration of what you would do if the room is being used and you needed the toilet or someone needed first aid. How likely this is to occur will depend on many factors. Location of the toilet and size may influence any decision to have a multi use room. For small to medium stores etc, multi use may be worth considering with the addition of a chair and first aid cabinet/wall mounted kit. 

Let a toilet be a toilet 

I see a simple solution. You don’t HAVE to use a bench or hoist to use the facility. Why not just have it as a toilet for use by anyone who would normally need an accessible toilet? Do disabled people in general know they can use it? 

Currently building regulations say that venues need a standard wheelchair accessible toilet  … and CP toilets are additional. 

Well perhaps this should change  – the only difference would be a finger wash basin near the toilet (and this could be fitted in a CP toilet as a moveable / swing out basin perhaps). That way one toilet suitable for all could be provided. Even going as far as enabling parents with children in prams to use the room in smaller venues where low use might be a financial issue? 

Maybe, in small venues, we need to start providing shared facilities that serve more than just disabled hoist/bench users. 

Guest blog: Audio described toilets


This month we are looking at accessibility features for blind and visually impaired users.

We came across an interesting product that audio describes toilet layouts -so we were delighted to hear all about it from the company, ADi Access. Please contact them directly if you are interested in purchasing this access feature.

Find out where they are installed on this map if you are looking for a toilet with audio description.

About ADi


ADi Access is a Cornish company formed in 2014 to imagine, design and build products that give disabled users increased dignity and independence in their everyday lives.  Their first product is the RoomMate ®, which provides an audio description of the room layout for Visual Impaired users.

Visit: for prices and information.


My fellow writers mention hospitals a lot so let me start by asking how would you use a disabled access toilet if you were Visually Impaired?

Ask a friend to help perhaps? Or more likely your significant other? A member of staff? A complete stranger even?

Whichever answer you decided on the fact is that all four strip you of the very thing that we are constantly campaigning for, Dignity and Independence.

Related: Scots fear blindness more than other long-term health conditions

Regardless of your disability, whether you are wheelchair bound or Visually Impaired the options available to you are still extremely limited and having someone there to help you for such a private task is a necessary evil.

But then we had an idea..

RoomMate.jpgWhat if we could take the notion of the ‘helper’ who verbally explains where everything is in the facility and lose the human presence?

18 months on, through successful trials and 5 prototypes we’ve done just that with the RoomMate [room mate]

The RoomMate  ® solves a very big problem very simply. 

Unlike many of today’s solutions there is no need for technical input from the user, this means it can help everyone from children to the elderly.

Each unit is uniquely programmed to its location and, on detecting anyone that enters, offers to provide them with an audio description of the facility.




Steve Holyer was a BT Engineer at Goonhilly Earth station until failing eyesight forced him to retire early. He is now almost totally blind.

My vision for the future is for ADi to expand and provide further products to address the difficulties that I experience every day as a blind person.

He shares his experiences and tells us more about the benefits of this product

The Equalities Act has been responsible for many wonderful innovations over the years, with inspirational initiatives and products being invented that provide help, dignity and Independence for those of us living with a disability.

But, in my experience the words ‘dignity’ and ‘independence’ only really begin to mean anything when you, or someone close to you, loses them. 

Toilets are mostly built around convenience, cost and speed for the plumbers and electricians and although a facility must be designed to comply with regulations, this doesn’t mean they necessarily have to make sense. 

Believe it or not, Helen and I have yet to find two identical toilets, even in the same building…  

This probably sounds a bit far fetched when you consider the amount of regulations that have been written over the years but is it really that surprising? 

Can you imagine the electrician actually sitting on the loo and deciding the best place for the Emergency pull-cord instead of just choosing the easiest spot to wire it in?

Crucially, if you are confined to a wheelchair then you can at least see where the pull-cord is or that the hand drier is in the wrong place, miles from the sink but how do I?

The trouble with toilets is that they are just THERE, an everyday thing that people just don’t think about until a disability forces them to. 

It reminds me of a quote: ‘People aren’t against you, they are just for themselves’.

Even disabled access toilets suffer the same fate beginning with the simple sign on the door. 

The sign tells me that the facility is wheelchair friendly, not disabled friendly, so for me as a blind user I know that there is more than likely no provision to help me use it without a friendly pair of eyes to guide me. Where’s the dignity and independence in that?

Developing the RoomMate has meant we’ve met a ton of people, MP’s, business owners and doctors, you name it we’ve probably met them and I keep reminding myself of the quote above, that people aren’t against me they just don’t understand how they can help me’, well now they can.

The RoomMate is an electronic, wall-mounted device, which offers Blind and Visually Impaired visitors bespoke audio description in a disabled access toilet, thus freeing the person to use the facility independently.

Each unit is programmed to explain the layout of the room that it is in to enable the visitor to visualize the layout for themselves.

Having a RoomMate means that no third party needs to be present, whether a partner, member of staff or even a total stranger which avoids the potential for embarrassment for everyone. 

Each unit also comes complete with a high visibility door sign to indicate that the facility has a RoomMate installed.

Guest blog: Rising to the toilet challenge.



Fiona very kindly agreed to be our guest blogger this week. Find out about her experiences accessing the toilet inside her home, at work and when out and about.

We discussed lots of toilet challenges – which we’ll be popping in another blog post around April. 

What was your earlier method of using the toilet?

From a very early age my gran and mother was of the “hover” at public loos brigade. I now find myself 33 with MD, a muscle wasting disease, and no longer able to “hover” or stand up from sitting on a toilet.

Which kind of adaptations have worked well for you at home and work?

Everyone is different. But in general I need a loo that rises to either stand me up or line up with a chair.

At home I have a purpose built wet room which includes a Riser (adjustable height)Lima Lift, Clos-o-Mat wash/dry WC. Riser Sink (adjustable height) so I can access sitting or standing dependent on task or energy that day.

I have an open level floor wheel-in shower with Body Dryer and multi positioned grab bars in shower and beside sink and WC.

I also have full length mirrors to suit me sitting or standing. My shower is mounted at a height suitable to operate from my wheelchair or standing.


In my (original) upstairs bathroom (and workplace) I still use a Mount-way riser seat. For me this is great as space in my small bathroom is an issue, I can only access the WC and have different solutions for hand washing as my chair doesn’t fit in the room.  The Mount-way is great for me as I can still weight load but for some the angle of tilt is not suitable due to weak legs. The tiles are also a little more dangerous in a bathroom that is used for washing when the floor may become slippery.

It’s worth noting that their can be a problem with my Mount-way riser loo batteries running out. I’ve  been left well.. sitting duck on the potty comes to mind when there is simply no “up” left in me.


All of the above along with my riser wheelchair are priceless to me as it gives me total independence and privacy when at home.

What about outside the house – that must be difficult?

Now in an ideal world I would have my home loo set up every time but sadly not.

So for many people like myself have to resort to withholding fluid. This is a gradual thing done over many years that you dont notice it happening. I am at the point when I can’t sit to stand unaided without grab bars, riser toilet/chairs or helpers.  So as well as being denied access to the WC, the restriction in toileting,  bars me from eating out, cinemas, visiting friends, key social activities everyone else takes for granted.  

I can’t eat or drink socially as I cannot independently toilet and it is worth noting that not every disabled person has access to family or paid carers.

How have you adapted to changes in your strength, do you worry about the future?

I have been evolving with my condition for forever.  I have always had the eye on what’s next to fix that. Well unfortunately the world wide WC problem has me stumped. There are various gadgets for ladies to pee standing and from chair and all are great inventions. However,  sadly I think the only viable step would be catherisiastion as balancing in unsuitable bathrooms is dangerous or even finding enough WCs –  and frankly this makes me both sad and angry that yet another function will be taken away from me before it is medically necessary. My bladder is fine I just can’t hold it for up to 8 hrs and eat and drink.

What else would you like readers to take from your experiences?

This is not luxury. We need clean safe loos and lots of them. We have a right to open the door without that intake of breath and worrying about ‘what have we got this time’. We have a right to have enough room for us and up to 2 carers to work. A right not to be fed or changed on the toilet floor. To be able to leave our homes without being catheterised before we are ready. Being catheterised should be my design or for medical reasons and not based on the lack of suitable WCs in the community. Please give us our dignity let us pee in peace.

Fiona, Glasgow, Scotland 


[Sub note: Whilst Changing Places offer a large space, adjustable height bench and a hoist, many people are not at ‘hoisting stage’ because they can still weight bear. To hoist requires the ability to carry a sling with you and be with someone trained to take it on and off.  Like Fiona says, not everyone has assistants/carers or family who can help them, with them at all times outside the house. When people can still stand (but not get from a sitting to standing position), it is a height adjustable toilet or toilet riser system that is needed, not just hoist facilities.

We feel height adjustable, wash/dry toilets should be standard in all Changing Places toilets.]



How able do you need to be to use an accessible toilet?


Abilities needed to use an accessible toilet 

People need a variety of abilities to use an accessible toilet – even if the toilet meets all building regulation requirements.

Sometimes you really do have to be an acrobat.

Many of these abilities are physical in nature – yet also involve our senses e.g. to grasp a handle you have to be able to identify it first by sight or touch.acroBAT

Using the toilet requires actions such as pulling, pushing, bending, grasping, reaching, twisting, flexing arms and legs, using fine motor control, core balance skills, coordination – and energy. It can involve moving and bending in confined spaces or dim light.

These are just some of the things you need to be able to do for this ‘simple’ task. It highlights how you need to be fairly ‘able’ to go to the toilet.

Ability to:

  • see where the toilet room is, locate the door and possibly turn a key.
  • raise an arm (or equivalent) to grasp / hook the handle and pull the door open (sometimes against a strong spring), manoeuvre through the door, close it and turn the lock.
  • locate where the toilet and sink are and possibly activate a light switch.
  • move waste bins and other objects out of the way – perhaps outside of the door.
  • turn and position yourself (especially if you use a wheelchair, frame, walker, crutch, sticks etc).
  • bend, grasp, lean and balance to successfully remove trousers, undo zips, remove/manipulate underwear, lift /hold skirts.
  • lift yourself out of your wheelchair and onto the toilet (or lower yourself down in a controlled and stable fashion if standing) .
  • hold onto a grab rail (balance, grasp, extending arms/raising limbs) [and be able to pull down the grab rail if in the upright position].
  • balance / hold bars (often for extended periods of time) to urinate/defecate
  • reach and grasp toilet role, tear off a piece (difficult with one hand or no grip) and twist/reach to wipe thoroughly.
  • maintain menstrual hygiene or change a sanitary towel or a soiled pad
  • stand up or transfer back into your wheelchair or reach for cane/frame etc.
  • pull up underwear / trousers / put clothes back on / do up zips etc.
  • reach and push on a flush handle, press a paddle flush or activate a button.
  • turn on a tap, reach the sink if you haven’t already washed your hands/equipment.
  • manipulate soap/liquid and water in your hands to cleanse hands properly
  • hold hands in the air under a dryer or rub with hand towels.
  • see the door, open the lock and exit the toilet.

Large numbers of people find some or all of these elements challenging or impossible. Most of the difficulties can be overcome or removed by improving space, equipment and facilities.

That is why the current standards in accessible toilet design are failing to meet the needs of people who can not do these actions. Things need to change and the time is NOW!!

Sanitation and the purple pound


If disabled visitors can pee and poo, the purple pound will come to you.

It’s that simple.

Sanitation is possibly the most overlooked provision that can bring profits down and decrease the number of visitors you will attract.

When asked what is the biggest factor that would prevent or deter you from visiting an attraction – disabled people generally say it’s the toilet facilities that influence their decision the most.


A toilet that fails disabled people

Let’s face it – would you visit somewhere for the day that had no toilets?

We need to remember that an ‘accessible toilet’ that is not usable (or doesn’t have the full compliment of access features for people with different needs) can be regarded as absent.

Your toilet is as good as absent if:

  • it is poorly signposted. If you can’t find it when you need to – it might as well not be there.
  • locked (aside NKS keys)
  • has the wrong fixtures and fittings
  • poorly maintained (dangerous, wrong flooring, poor illumination, wet etc)
  • cluttered or being used as storage space
  • Does not have the full range of access features needed by visitors – would you know what makes a toilet usable for all?

I have been to 14 places of interest in the past year (Museums, gardens, historical buildings, wildlife parks/zoos, heritage railways) for days out.  Being passionate about sanitation, I looked in every ‘accessible toilet’ on all but one site  – not a single one met the full access requirements as detailed in the current building regulations for a new toilet.

In other words, they all had elements which would have made them unusable for people with particular needs.

Only 2 had a hoist for people who can not raise themselves out of a wheelchair onto a toilet, and only 1 had an adult changing bench for those who need a pad change.

I have what is required by law.

This may be true in respect of building regulations – but the Equality Act 2010 requires equality of sanitation provision for disabled people. (See our free guides for information)

To fail to bring your facilities up to the most recent standards gives a strong message that disabled people and their friends and families are not welcome. You are not interested in supporting social inclusion and are not interested in taking your share of the purple pound.

What is the Purple Pound?

The purple pound is money that disabled people and those that come with them (e.g. family, friends etc) have to spend on tourism.

  • In 2013, 20% of all Tourism Day Visits in England included someone with a health condition/impairment. That’s a spend of £9.4 billion.
  • Over 500,000 people each year visit England from abroad, who also have a health condition or impairment – worth £341 million.

In total – disabled people and companions are spending £12.4 billion pounds a year within tourism.

Why would you not want some of this money?

The quality and standard of your toilet provision says a lot about you. Get it wrong and it’s going to cost you money and your reputation.

Written for World Tourism Day 2015: